Wellness Wallet Reimbursement Form 2024 Template. We have 32 images about martin's point wellness. 298 x 386 · jpeg wellness wallet reimbursement form fill printable from www.pdffiller.com
If you enrolled in a fitness class, paid fees towards a gym membership, or participated in another qualifying program, make sure to fill out the reimbursement. We will reimburse in full (up to the 2023 wellness wallet limit) if your fitness/gym membership extends into the 2024 calendar year.
Reimbursements (Up To Your Plan’s Wellness Wallet Amount) Are Limited To Those Purchased In 2024 And With Dates Of Service Beginning In 2024.
If you enrolled in a fitness class, paid fees towards a gym membership, or participated in another qualifying program, make sure to fill out the reimbursement.
298 X 386 · Jpeg Wellness Wallet Reimbursement Form Fill Printable From Www.pdffiller.com
Use this form to request the $150 ($350 for access ppo, saver rx hmo and smart saver rx hmo plan members)* wellness allowance reimbursement offered by tufts health.
Our New Combined Form Allows You To Request Reimbursement For Items Eligible Under Your Wellness Wallet.
Images References :
Details On How This Benefit Works And What Programs.
In order to qualify for funding in your health.
2023 Reimbursement Request By Mail:
Annual wellness visit (awv) visit to develop or update a personalized prevention plan and perform a health risk assessment.
Our New Combined Form Allows You To Request Reimbursement For Items Eligible Under Your Wellness Wallet.
